| NPI | 1922272038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: CA 62788) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: PA RP448117) |
| 183500000X Pharmacist (Licence: AZ S017673) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2016-12-29 |