| NPI | 1811493406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: KY 019941) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: OH 03440194) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-06-28 |