NPI | 1295559995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: MA NP1000016) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH241327) |
Enumeration Date | 2024-11-11 |
Last Update Date | 2024-11-11 |