NPI | 1861003477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.303956) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH032046) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2022-10-27 |