| NPI | 1649594565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NY 044144) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: NJ 28RI03180700) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |