| NPI | 1164908380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.298665) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22567) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |