| NPI | 1740239631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 041710) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-036093) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-09 |