| NPI | 1437360450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 9151-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-030560) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |