| NPI | 1033973367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017815) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051291987) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |