| NPI | 1780153411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: TX 61363) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 18029) |
| 1835N0905X Pharmacist, Nuclear (Licence: OK 18029) | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-12-27 |