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 |