| NPI | 1578023016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MN 732609) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: GA PHTC048291) |
| 183700000X Pharmacy Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 183700000X Pharmacy Technician (Licence: MA PT24765) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-08-02 |