| NPI | 1134687015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 83488) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051298622) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2024-08-02 |