| NPI | 1194312090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 042365) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051036460) |
| Enumeration Date | 2020-12-25 |
| Last Update Date | 2021-05-27 |