| NPI | 1467857235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.297999) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2013043623) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |