| NPI | 1366054595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.302441) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302412137) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |