| NPI | 1366081945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 2018040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051302475) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2020-03-25 |