NPI | 1982980959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21010) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.294542) |
Enumeration Date | 2011-10-22 |
Last Update Date | 2011-10-22 |