| NPI | 1144823253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051303153) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61381575) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2026-03-27 |