| NPI | 1952792863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 55662) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051298199) |
| 183500000X Pharmacist (Licence: IN 26025934A) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2023-11-27 |