| NPI | 1609230549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TX 63378) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: KY 018637) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2020-05-20 |