NPI | 1235278987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 21332) |
Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: TX 21332) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-07-08 |