NPI | 1558768564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-038258) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16982-40) |
Enumeration Date | 2014-11-20 |
Last Update Date | 2014-11-20 |