| NPI | 1669797841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.286786) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: IL 051.286786) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051.286786) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |