| NPI | 1225761919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: IN 2162-4691) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TN 35511) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: KY 1124501) | |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: M8060948) | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-08-31 |