| 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 |