| NPI | 1821496191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 71684) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051292805) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |