| NPI | 1689210957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: TX 192165) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NH CPHT-123991) |
| 183700000X Pharmacy Technician (Licence: NM PT00009826) | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2024-01-04 |