| NPI | 1548481815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TX 39299) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: AZ 12251) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |