| NPI | 1447861505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 021013) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051303150) |
| 183500000X Pharmacist (Licence: IN 26028594A) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |