| NPI | 1861182941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IL 051306884) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041669) |
| 183500000X Pharmacist (Licence: IL 051306884) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IL 051306884) | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2025-11-06 |