| NPI | 1750659959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65589) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.294812) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2025-01-31 |