| NPI | 1487387213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MN 125647) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 125647) |
| 1835X0200X Pharmacist, Oncology (Licence: MN 125647) | |
| 1835C0207X Pharmacist, Compounded Sterile Preparations (Licence: MN 125647) | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2026-02-07 |