| NPI | 1508342742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2014026870) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051297630) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |