NPI | 1568736932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202208565) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051294649) |
Enumeration Date | 2012-03-02 |
Last Update Date | 2012-12-17 |