| NPI | 1780022673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 041519) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-035981) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |