| NPI | 1437651973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: NV PT14996) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: 10033978) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |