| NPI | 1487902722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: VT 033.0003817) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: NY 053108) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |