| NPI | 1487784609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NY 036454) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 036454) |
| 1835X0200X Pharmacist, Oncology (Licence: NY 036454) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2025-09-11 |