| NPI | 1083367106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61245518) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051304362) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |