| NPI | 1437038890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: SD R5940) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: IA 21228) |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |