| NPI | 1760706840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 9384) |
| Additional Taxonomies | 1835X0200X Pharmacist Oncology (Licence: TN 9288) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2022-02-03 |