| NPI | 1053828780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302046150) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051300317) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |