| NPI | 1023133386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051289700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0020188) |
| 183500000X Pharmacist (Licence: IL 051289700) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2026-06-02 |