| NPI | 1871902692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051031092) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15431-40) |
| 183500000X Pharmacist (Licence: NE 14102) | |
| 183500000X Pharmacist (Licence: OR 0011517) | |
| 183500000X Pharmacist (Licence: ND RPH-5170) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |