| NPI | 1649557661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2011026558) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.295447) |
| 183500000X Pharmacist (Licence: FL PS60070) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2022-12-19 |