| NPI | 1811158660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 14427) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051289818) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |