NPI | 1326256595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: OR 0012144) |
Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: CA 59919) |
1835N0905X Pharmacist, Nuclear (Licence: TX 48323) | |
1835N0905X Pharmacist, Nuclear (Licence: CO PHA-17938) | |
1835N0905X Pharmacist, Nuclear (Licence: PA RP441624) | |
Enumeration Date | 2007-05-19 |
Last Update Date | 2019-02-28 |