| NPI | 1720477169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NC 16693) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 16693) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2019-12-19 |