| NPI | 1821428889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TN 43115) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 057017) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2019-06-04 |