| NPI | 1528426574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 09123) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-036143) |
| 183500000X Pharmacist (Licence: MA PH234374) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |