| NPI | 1902022981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 14896-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-035717) |
| 183500000X Pharmacist (Licence: IA 16566) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2012-02-19 |