| NPI | 1518190693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 12444) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-027831) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |