| NPI | 1437740438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH61165927) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.303750) |
| 183500000X Pharmacist (Licence: ID P9432) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-08-21 |