| NPI | 1992874333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-287386) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 045328) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |