| NPI | 1609284108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0022601) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.295020) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2019-03-01 |