NPI | 1467441097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NV 17352) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00052219) |
183500000X Pharmacist (Licence: NM RP00006827) | |
Enumeration Date | 2005-10-17 |
Last Update Date | 2023-12-13 |