| NPI | 1417200254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051296204) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S019522) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2014-04-08 |