| NPI | 1023489614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TX 60536) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: MD 22437) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2022-10-17 |