| NPI | 1699373548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122160) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: MN 122160) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |