| NPI | 1619263498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS48510) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051296584) |
| 183500000X Pharmacist (Licence: NC 21646) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-10-20 |