| NPI | 1588944060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051292841) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps44730) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2018-03-17 |