| NPI | 1063129880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: NV 0652-4023-4638) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NV 0652-4023-4638) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2024-11-04 |