| NPI | 1790546216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051306077) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 051306077) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2025-12-25 |