| NPI | 1639499379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11392) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: OK 11392) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |