| NPI | 1093404352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 18612-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051301127) |
| 183500000X Pharmacist (Licence: MA PH237792) | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |