| NPI | 1679763981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.036373) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13038) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-10-27 |