| NPI | 1124246046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: PA RP439510) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: FL PS 416675) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-07-20 |