| NPI | 1629416938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ S017258) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051.028931) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 17666) | |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2013-06-08 |