| NPI | 1063794022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021117) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-039451) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2020-12-22 |