NPI | 1134627789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: IL 051304715) |
Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: NY 064314) |
1835X0200X Pharmacist, Oncology (Licence: TX 58522) | |
Enumeration Date | 2018-01-30 |
Last Update Date | 2024-09-20 |