| NPI | 1225310980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129446-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051293801) |
| 183500000X Pharmacist (Licence: IN 26023360A) | |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2018-01-15 |