| NPI | 1588963094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NY 039109) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 039109) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |