| NPI | 1144092032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 070967) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC 3153598) |
| 1835X0200X Pharmacist, Oncology (Licence: DC 5151124) | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |