| NPI | 1932541513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051297946) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21962) |
| 1835C0205X Pharmacist, Critical Care (Licence: IL 7151255) | |
| 1835E0208X Pharmacist, Emergency Medicine (Licence: IL B14100576) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2025-02-25 |