| NPI | 1770868838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 1163218) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-032107) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |