| NPI | 1922381870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.040924) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 042929) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |