| NPI | 1710173521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.303828) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2007022484) |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2022-05-31 |