| NPI | 1497276778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302045641) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051300157) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |