| NPI | 1497829121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 32517) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: TX 32517) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-01-12 |