| NPI | 1306709266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051305808) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 2319440) |
| 183500000X Pharmacist (Licence: NC 32494) | |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-08 |