| NPI | 1558718270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051040586) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 18474) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |