| NPI | 1811590805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 20049) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.301359) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |