| NPI | 1639653462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: AL T37145) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| 183700000X Pharmacy Technician | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |