NPI | 1053063578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MN 114879) |
Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: MN 114879) |
Enumeration Date | 2022-01-25 |
Last Update Date | 2022-01-28 |