| NPI | 1205312204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2017029978) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051300559) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |