| NPI | 1639419831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: FL RPT4684) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IL 049-181910) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |