NPI | 1215761820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: AK 173613) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: AK 21506576) |
Enumeration Date | 2024-08-27 |
Last Update Date | 2024-08-27 |