| NPI | 1518346634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051297626) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051297626) |
| 183500000X Pharmacist (Licence: MO 2012020935) | |
| 183500000X Pharmacist (Licence: IA 21920) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |