NPI | 1023553062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: CA 43214) |
Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: CA 43214) |
Enumeration Date | 2016-12-29 |
Last Update Date | 2016-12-29 |