| NPI | 1518044098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: IL 051-03484) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: IL 051-03484) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |