| NPI | 1437233228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-286316) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 115373-6) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-01-13 |