| NPI | 1417874736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.040196) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 043938) |
| Enumeration Date | 2026-06-30 |
| Last Update Date | 2026-06-30 |