| NPI | 1841684644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NY 061680) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP448761) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2019-01-11 |