| NPI | 1760081533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: MT PHA-PTE-LIC-83395) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TN 39282) |
| 183700000X Pharmacy Technician (Licence: WA VA61082215) | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2024-04-09 |