| NPI | 1801227707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-032995) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 35369) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |