| NPI | 1831724392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 17624) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051301746) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |