| NPI | 1982871349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N0905X Pharmacist, Nuclear (Licence: UT 6651295-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6651295-1701) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |