| NPI | 1801572862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: AL T53165) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: KY PT00381806) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |