| NPI | 1093156051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051299311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 032329212) |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2022-12-29 |