| NPI | 1174033070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NY 062185-1) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: PA RP449815) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |