| NPI | 1134503410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.293668) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 21277-40) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-06-09 |