| NPI | 1104416601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744R1102X Specialist, Research Study |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IL 049122969) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2024-07-10 |