| NPI | 1568250959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: IA 27507) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WI 232162-41) |
| 183700000X Pharmacy Technician (Licence: IL 049.310718) | |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |