| NPI | 1306621115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: NH CPHT-126994) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: VT 121.0135584) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |