NPI | 1396462537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KY 019515) |
Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: KY 019515) |
Enumeration Date | 2022-10-27 |
Last Update Date | 2022-10-27 |