| NPI | 1265798813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: IL 049175018) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: IL 060697125) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2020-10-17 |