| NPI | 1073943353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NY 058038-1) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: CT 0011962) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |