| NPI | 1841493293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: CO 19059) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: TX 5302037147) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-03-16 |