| NPI | 1982060067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0020005) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051290776) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |