NPI | 1508110792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 43052) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 43052) |
1835X0200X Pharmacist, Oncology (Licence: TX 43052) | |
Enumeration Date | 2012-11-09 |
Last Update Date | 2012-11-09 |