| NPI | 1326626300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: VA 0230032382) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: 30075055) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-04-05 |