| NPI | 1225151459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist Oncology (Licence: FL PS42031) |
| Additional Taxonomies | 1835X0200X Pharmacist Oncology (Licence: OH 03-3-25773) |
| 1835X0200X Pharmacist Oncology (Licence: PA RP440583) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |