| NPI | 1568786184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.031602) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26013943A) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |