| NPI | 1730638214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 70809) |
| Additional Taxonomies | 1835X0200X Pharmacist Oncology (Licence: AZ S020038) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |