| NPI | 1275019358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2017026050) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.300788) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |