| NPI | 1750878823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IN 67028411A) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2021-01-30 |