| NPI | 1578844940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.294845) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS51590) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2014-04-24 |