| NPI | 1659802338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 59900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051299192) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |