| NPI | 1538850805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 24392) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051304133) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |