| NPI | 1245959014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: 30014713) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 274381) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |