| NPI | 1316520695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: VA 0230028877) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2025-05-05 |