| NPI | 1386252260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 67068) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.288557) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |