| NPI | 1124867700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 57224) |
| Additional Taxonomies | 1835X0200X Pharmacist Oncology (Licence: TX 57224) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |