| NPI | 1417940149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051040643) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 044601) |
| 183500000X Pharmacist (Licence: IA 21856) | |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2022-08-16 |