| NPI | 1053831644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: FL 510263) |
| Additional Taxonomies | 246W00000X Technician, Cardiology |
| 246XS1301X Specialist/Technologist Cardiovascular Sonography | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2023-08-15 |