| 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 |