| NPI | 1215366778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: IA 20435) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: IL 051291571) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |