| NPI | 1114200797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 029435) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051031158) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2023-03-07 |