| NPI | 1003407453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 049032218) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051032218) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-29 |