| NPI | 1982077012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 15963) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-035905) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |