| NPI | 1851685390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 052187-1) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: NY 052187-1) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |