| NPI | 1942891171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: IL 049274552) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IN 67034956A) |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-09-28 |