| NPI | 1356955116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 79822) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.299880) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-04-30 |