| NPI | 1902442908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA RP457087) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: FL PS63321) |
| 1835X0200X Pharmacist, Oncology (Licence: CA 75749) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-10-19 |