| NPI | 1003257635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021863) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051035394) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2016-10-05 |