NPI | 1326553397 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: NC M8017105) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: NC P018898) |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |