| NPI | 1346914934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: IL 051304111) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051304111) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2023-11-07 |