| NPI | 1811270143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.291125) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302035791) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2024-04-09 |