| 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 |