| NPI | 1932745114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 2302035972) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051293661) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-01-17 |