| NPI | 1427315274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: NM PT00004947) |
| Additional Taxonomies | 247000000X Technician, Health Information (Licence: NM CompTIA ANSP) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |