| NPI | 1437675923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S022893) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.301131) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-01-31 |