| NPI | 1811394380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: OR RPH-0014038) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: SC 14115) |
| 1835X0200X Pharmacist, Oncology (Licence: MD 22457) | |
| 1835X0200X Pharmacist, Oncology (Licence: WA PH60368429) | |
| Enumeration Date | 2014-11-29 |
| Last Update Date | 2015-12-28 |