| NPI | 1295758019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 57793) |
| Additional Taxonomies | 1835X0200X Pharmacist Oncology (Licence: CA 57793) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-04-21 |