| NPI | 1912532201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TX 54937) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03594400) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |