| NPI | 1003186503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 27594) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: FL 161) |
| Enumeration Date | 2011-12-31 |
| Last Update Date | 2011-12-31 |