| NPI | 1407375215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 171W00000X Contractor | |
| 1744R1102X Specialist, Research Study | |
| 246Y00000X Spec/Tech, Health Info | |
| 247000000X Technician, Health Information | |
| 374700000X Technician | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |