| NPI | 1700357134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 090974) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051035160) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |