| NPI | 1013645332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.307887) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 31266) |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2026-02-03 |