| NPI | 1992914899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TX 45396) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 21275) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-03-01 |