| NPI | 1023494465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 1810440) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051298823) |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2020-05-13 |