| NPI | 1134627789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NY 064314) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: TX 58522) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2019-06-18 |