| NPI | 1700666575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 20587-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.302847) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |