| NPI | 1346493384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202206372) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 13172) |
| 1835N0905X Pharmacist, Nuclear (Licence: VA 0202206372) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2014-01-27 |