| NPI | 1811526676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 22110) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.299307) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |