NPI | 1073121679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MI A038916) |
Enumeration Date | 2020-07-20 |
Last Update Date | 2020-07-30 |