NPI | 1285785501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: NV 09948) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2007-01-15 |
Last Update Date | 2007-07-08 |