| NPI | 1427171404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 9796) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: TN 9796) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 9796) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-02-10 |