NPI | 1134795388 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD530866) |
Enumeration Date | 2021-05-28 |
Last Update Date | 2021-05-28 |