| NPI | 1881144269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 006184) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051026707) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-07-27 |