| NPI | 1346077906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: UT 376949-1701) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: UT 376949-1701) |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |