| NPI | 1629698154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist Oncology (Licence: WA 60861986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051300683) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-11-24 |