| NPI | 1760085302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S025872) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051303619) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-07-14 |