| NPI | 1962533943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: AZ S017795) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: ID P7038) |
| 183500000X Pharmacist (Licence: FL PS37015) | |
| 183500000X Pharmacist (Licence: NV 17767) | |
| 183500000X Pharmacist (Licence: OR RPH-0013539) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-07-11 |