| NPI | 1568963924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051294250) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-4219) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |