| NPI | 1639779150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051295476) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 59336) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |