| NPI | 1225879521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: DC PT100004273) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MD T28692) |
| 183700000X Pharmacy Technician (Licence: VA 0230041785) | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-11-13 |