| NPI | 1093900128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: MO 2001019310) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: MD 16555) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |