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 |