| NPI | 1184945347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NC 22672) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03230215-2) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2013-01-15 |