| NPI | 1114383049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist Oncology (Licence: AL 21079) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-13534) |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MS E-13534) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2021-03-30 |