| NPI | 1134499312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: VA 0202208656) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: NY 059906) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2015-06-17 |