| NPI | 1780255877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.304752) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IL 049.243335) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-07-19 |