| NPI | 1386977684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: CA TCH 77307) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: CA 77307) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |