| NPI | 1861014946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: NY 058502) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03380300) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |