NPI | 1548347792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051036588) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: IL 051036588) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2009-08-03 |