| NPI | 1821688227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 24926) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051305676) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2025-11-08 |