| NPI | 1730412248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00005138) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.032611) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |