| NPI | 1275039166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: GA A033394) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX 753196) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: KY 1120796) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: FL 560197) | |
| 163WI0600X Registered Nurse, Infection Control (Licence: IL 041394425) | |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2024-03-05 |