| NPI | 1720491798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051301071) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100001245) |
| 183500000X Pharmacist (Licence: MD 20688) | |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2024-03-12 |