| NPI | 1124565874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS T-010478) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: MS T-010478) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |