| NPI | 1689354128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MO 2022010830) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |