| NPI | 1013594753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051299074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3553) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2021-03-27 |