| NPI | 1316252984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TX 12218) |
| 163WE0003X Registered Nurse, Emergency (Licence: TX 694863) | |
| 183700000X Pharmacy Technician (Licence: 5001-0701-0049-881) | |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2010-08-08 |