| NPI | 1477950384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: DE A1-0004567) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 11232) |
| 183500000X Pharmacist (Licence: NH 2546) | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |