| NPI | 1134325186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TN 0000028520) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2013-05-16 |