| NPI | 1285329946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: NC 31322) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: GA 033350) |
| 1835N0905X Pharmacist, Nuclear (Licence: SC 43434) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-06-19 |