| NPI | 1164419305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051.294042) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS38857) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2024-02-14 |