| NPI | 1922258862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: KS 1-15819) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: CO 17476) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2020-12-07 |