| NPI | 1902895873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 51288648) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2002028993) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2013-02-06 |