| 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 |