| NPI | 1023660651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S023785) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.301413) |
| 183500000X Pharmacist (Licence: NV 20167) | |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2019-07-13 |