| NPI | 1760672232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2007022476) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.293120) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2011-04-05 |