| NPI | 1285234633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.301433) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2020032382) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |