| NPI | 1093929903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH021997) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 34321) |
| 183500000X Pharmacist (Licence: SC 011670) | |
| 1835N0905X Pharmacist, Nuclear (Licence: GA RPH021997) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |