| NPI | 1477836153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 44900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-293422) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |