| NPI | 1508524497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0018488) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS60741) |
| 183500000X Pharmacist (Licence: IL 051302477) | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |