| NPI | 1104020429 |
|---|---|
| Professional Name | ACTIVE AMBULANCE SERVICE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: PR TCAMB457) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PR 2003476) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-06-20 |