| NPI | 1811971351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S15027) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051292340) |
| 183500000X Pharmacist (Licence: MI 5302033601) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2011-12-30 |