| NPI | 1891448478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: AZ 620107010368711) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: AZ T030908) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |