| NPI | 1598062234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051030963) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12445) |
| 183500000X Pharmacist (Licence: CA 30787) | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |