| NPI | 1861876286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 40788) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.298587) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2017-02-06 |