| NPI | 1548692213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 22049) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.297320) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2026-04-09 |