| NPI | 1154851996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist Oncology (Licence: GA RPH029988) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA PHI-017043) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-08-03 |