NPI | 1154851996 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835C0207X Pharmacist, Compounded Sterile Preparations (Licence: OH 03441682) |
Additional Taxonomies | 183500000X Pharmacist (Licence: GA PHI-017043) |
1835X0200X Pharmacist, Oncology (Licence: GA RPH029988) | |
1835X0200X Pharmacist, Oncology (Licence: OH 03441682) | |
Enumeration Date | 2017-06-14 |
Last Update Date | 2025-02-26 |