| NPI | 1003477837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: CA F1402992) |
| 146M00000X Emergency Medical Technician, Intermediate | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |