| NPI | 1164396628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS.37542) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 36993) |
| 183500000X Pharmacist (Licence: IL 051.287471) | |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |