| NPI | 1326376328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: AL B1719026) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-03 |