| NPI | 1063981959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: CA 11157) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 11157) |
| 183500000X Pharmacist (Licence: CA 79366) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2024-09-25 |