| NPI | 1740346154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 58563) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.287644) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-07-25 |