NPI | 1548781685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051299716) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051299716) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2023-07-12 |