| NPI | 1952683104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: PA RP443094) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28 RI 01836500) |
| 183500000X Pharmacist (Licence: DC PH 100000660) | |
| 183500000X Pharmacist (Licence: DE A1-0003976) | |
| 183500000X Pharmacist (Licence: MD 19291) | |
| 183500000X Pharmacist (Licence: MI 5302039290) | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |