| NPI | 1770187783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2020023097) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051303330) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2022-02-17 |