| NPI | 1275923955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MD T08958) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: VA 0230022207) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |