| NPI | 1104018076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S026410) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.287000) |
| 183500000X Pharmacist (Licence: IN 26019546a) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2023-06-29 |