| NPI | 1871252965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: TN 66664) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WA VA61151042) |
| 183700000X Pharmacy Technician (Licence: IL 049195192) | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2024-08-31 |