| NPI | 1770246100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0019372) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051304393) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-03-31 |