| NPI | 1760415129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.030828) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps25591) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-11-23 |