| NPI | 1083203723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051302461) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051302461) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: UT 10874003-1701) | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2021-02-03 |