| NPI | 1679108583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 124523) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.301535) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |