| NPI | 1477909984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051298835) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 15043) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |