| NPI | 1316273956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 41334) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051293117) |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2020-11-11 |