| NPI | 1184370744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051301813) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 19738) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |