| NPI | 1245676782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835X0200X Pharmacist Oncology (Licence: MD 19779) |
| Additional Taxonomies | 1835X0200X Pharmacist Oncology (Licence: DC PH100000831) |
| 1835X0200X Pharmacist Oncology (Licence: VA 0202210009) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |