| NPI | 1013060094 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03319958) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.039775) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2024-12-05 |