| NPI | 1891987178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2009027317) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051040979) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2020-12-06 |