| NPI | 1407150154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 64212) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051294053) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2021-02-05 |