| NPI | 1124520358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051301008) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 59381) |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2023-07-25 |