| NPI | 1508913559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051025954) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR 6796) |
| 183500000X Pharmacist (Licence: TX 17407) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |