| NPI | 1710132212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.292445) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15085-40) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |