| NPI | 1902029291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051033870) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS19741) |
| 183500000X Pharmacist (Licence: IN 26019073A) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2013-02-13 |