| NPI | 1518738830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051306656) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 89196) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2026-06-29 |