| NPI | 1043400724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: AZ S016182) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60029102) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 54238) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2015-06-05 |