| NPI | 1699292516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist Oncology (Licence: CA 72892) |
| Additional Taxonomies | 1835X0200X Pharmacist Oncology (Licence: WA PH60560757) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-02-12 |