| NPI | 1598385999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: VA 0230031906) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MD T19720) |
| 146N00000X Emergency Medical Technician, Basic (Licence: VA B202104096) | |
| 183700000X Pharmacy Technician (Licence: DC PT00936) | |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2022-02-05 |