| NPI | 1881648657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302031399) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.290624) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-02-10 |