| NPI | 1801204391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH031894) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.297580) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2022-12-19 |