| NPI | 1942588744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: IA 14376) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: IL 051030327) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |