NPI | 1760875801 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.291607) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 55881) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2015-03-13 |