NPI | 1326707480 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: CA P32875) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 22-CCHW-00000) |
172V00000X Community Health Worker | |
Enumeration Date | 2021-12-15 |
Last Update Date | 2023-03-16 |