| NPI | 1881097582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist Oncology (Licence: WA PH60363698) |
| Additional Taxonomies | 1835X0200X Pharmacist Oncology (Licence: AZ S019153) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |