| NPI | 1750810172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: PA RP447049) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: NY 059146) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |