| NPI | 1396811857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: MO 2001024195) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2001024195) |
| 183500000X Pharmacist (Licence: AR 007349) | |
| 1835N0905X Pharmacist, Nuclear (Licence: AR 007349) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-12-02 |