| NPI | 1972852168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051295891) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21763) |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2012-09-03 |