NPI | 1053135467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: MA 0903857) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: CT 001799) |
Enumeration Date | 2024-11-12 |
Last Update Date | 2024-11-12 |