NPI | 1114013810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183700000X Pharmacy Technician (Licence: UT 336778-1717) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: UT 3367781717) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2021-06-29 |