| NPI | 1699075499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65974) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051293572) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2012-01-20 |