| NPI | 1427669753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 61323) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051300072) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |