| NPI | 1518385814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.291546) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20456) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-12-02 |