| NPI | 1801188016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03329032) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.035435) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |