NPI | 1194328781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183700000X Pharmacy Technician (Licence: KY PT00356430) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: OH G4W7R3S6) |
Enumeration Date | 2020-11-17 |
Last Update Date | 2020-11-17 |