| NPI | 1871969527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 064947) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.298781) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-12-11 |