| NPI | 1952610628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA ph27315) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA ph27315) |
| 1835X0200X Pharmacist, Oncology (Licence: MA ph27315) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-12-01 |