| NPI | 1144505090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 12940) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051038941) |
| 183500000X Pharmacist (Licence: AZ S020876) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2022-12-22 |