| NPI | 1275983884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: IL 049219545) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MN 735123) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2017-03-10 |