| NPI | 1164104147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: MD 30439) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0019609) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2026-07-08 |