| NPI | 1386282770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: ID P5558) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: KY 011601) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |