| NPI | 1720357759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.026343) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: IL 051.026343) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |