| NPI | 1144434929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: PR TC-AMB-343) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: PR 1123P) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-09-15 |