| NPI | 1851925036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 18535-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051302762) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |