| NPI | 1275838609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME pr12888) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: ME PR12888) |
| Enumeration Date | 2011-01-15 |
| Last Update Date | 2020-09-08 |