| NPI | 1770189334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2019038197) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051302918) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-07-27 |