| 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 |