| NPI | 1780804880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-290944) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52713) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2024-12-15 |