| NPI | 1649978768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 22910) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.304326) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |