| NPI | 1073381281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.304659) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2013027406) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |