| NPI | 1134725286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 021492) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.303594) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |