| NPI | 1356173660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: OK T15574) |
| Additional Taxonomies | 172A00000X Driver (Licence: HI H01627842) |
| 347C00000X Private Vehicle (Licence: FL F622639924570) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-10-12 |