| NPI | 1154700789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: VA 0202211486) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: MI 5302041922) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |