| NPI | 1144025107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: MO CP-18785) |
| Additional Taxonomies | 174H00000X Health Educator |
| 172V00000X Community Health Worker (Licence: MO 17201) | |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |