| NPI | 1437276458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.290355) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2005012074) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-06-22 |