NPI | 1083289763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC NA0000605862) |
Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: DC E3131816) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2021-05-25 |