| NPI | 1265044325 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26025954A) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051296332) | 
| Enumeration Date | 2020-08-20 | 
| Last Update Date | 2020-08-20 |