| NPI | 1407126568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 16958) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051036773) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |