| NPI | 1427122167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-035713) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 8253-040) |
| 183500000X Pharmacist (Licence: NV 14110) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-12-12 |