| NPI | 1679954572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 08217) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: MD 08217) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |