| NPI | 1841767845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 76432) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051299675) |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2018-10-28 |