| NPI | 1467843474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS45557) |
| Additional Taxonomies | 1835N0905X Pharmacist Nuclear (Licence: FL NP405) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-12-17 |