| NPI | 1801957782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051033743) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023410A) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-01-01 |