NPI | 1578643870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: CA 42142) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 42142) |
183500000X Pharmacist (Licence: NV 9900) | |
1835X0200X Pharmacist, Oncology (Licence: CA 42142) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2011-09-01 |