| NPI | 1730681214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2010025198) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051295651) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |