| NPI | 1871702837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2006024052) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.290282) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |