| NPI | 1609163666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: IL 051298881) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 66590) |
| 183700000X Pharmacy Technician (Licence: IL 049.171105) | |
| 183700000X Pharmacy Technician (Licence: CA 27629) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2018-11-29 |