NPI | 1982028247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051293617) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO 2004002637) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2014-02-06 |