| NPI | 1104145671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: CA 53565) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 53565) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |