| NPI | 1275747271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TX 41777) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 41777) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-09-26 |