| NPI | 1205125432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 17718) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6135) |
| 1835X0200X Pharmacist, Oncology (Licence: NV 17718) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |