| NPI | 1992580831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051286782) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 24279) |
| 183500000X Pharmacist (Licence: MO 2005026166) | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |