| NPI | 1548241193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TX 27921) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 27921) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 27921) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-05-11 |