NPI | 1215361514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: PA RP452207) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 53675) |
Enumeration Date | 2013-08-23 |
Last Update Date | 2020-12-14 |