| NPI | 1831714989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 15008) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 15008) |
| 1835X0200X Pharmacist, Oncology (Licence: AZ 15008) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-11-27 |