| NPI | 1790121069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 59739) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: CA 59739) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-15 |