| NPI | 1013247725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: CA P26912) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |