| NPI | 1780323808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-038418) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 44581) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |