| NPI | 1578778239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |