| NPI | 1073649158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: AL 15978) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: GA RPH024042) |
| 1835X0200X Pharmacist, Oncology (Licence: NC 18535) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-12-05 |