| NPI | 1841858016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0014426) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 066976) |
| 183500000X Pharmacist (Licence: IL 051302147) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-11-25 |