NPI | 1043569601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S025727) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.295779) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2022-07-06 |