| NPI | 1992196174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051297666) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2014028106) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |