| NPI | 1992919799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: TX 43576) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: RI RPH04427) |
| 1835X0200X Pharmacist, Oncology (Licence: MD 16715) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |