| NPI | 1962977348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051031309) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-031309) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |