| NPI | 1720641178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 029774) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: GA 029774) |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2019-04-20 |