| NPI | 1437428380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45830) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA-18004) |
| 183500000X Pharmacist (Licence: IL IL-051-292793) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |