| NPI | 1265080683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125226) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: WI 19799-40) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2021-11-08 |