NPI | 1073493060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: LA LA21-6629) |
Additional Taxonomies | 251V00000X Voluntary or Charitable |
172V00000X Community Health Worker | |
Enumeration Date | 2025-09-03 |
Last Update Date | 2025-10-05 |