| NPI | 1083394035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 38100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051296418) |
| 183500000X Pharmacist (Licence: NC 28481) | |
| 183500000X Pharmacist (Licence: IN 26022657A) | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-08-11 |