| NPI | 1821412248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 011755) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.039615) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2016-09-28 |