| NPI | 1982761318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051029989) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-029989) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-02-18 |