| NPI | 1841942505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: OH 09318067) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: OH 09214330) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2023-05-04 |