| NPI | 1780949685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S012449) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051033351) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2012-07-07 |