| NPI | 1932258324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: VA 0202013121) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: PA RP-029177-L) |
| 1835X0200X Pharmacist, Oncology (Licence: MD 15244) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-07-13 |