| NPI | 1609157262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.289588) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26021584A) |
| 183500000X Pharmacist (Licence: MO 2005005260) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |