| NPI | 1396498978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.303156) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 30421) |
| 183500000X Pharmacist (Licence: WI 22045-40) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-10-13 |