| NPI | 1851560205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TX 38213) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: MI 5302028447) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |