| NPI | 1619208535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ s017032) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.291885) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2018-07-31 |