| NPI | 1124881081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0024639) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: CO 0024639) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-28 |