| NPI | 1750789681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051291735) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26022368A) |
| 183500000X Pharmacist (Licence: KY 011817) | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |