| NPI | 1073017588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0014747) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051298365) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-09-15 |