NPI | 1164872420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: MI 3201011429) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MI 3205002392) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2016-06-17 |