| NPI | 1255337515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.293348) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS34323) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2021-04-27 |