| NPI | 1699204560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist Oncology (Licence: FL PS54720) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS54720) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |