NPI | 1336828094 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: IA emt4003710) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic |
Enumeration Date | 2023-07-11 |
Last Update Date | 2023-07-11 |