| NPI | 1346077567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse Emergency (Licence: CA 95170352) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: CA P30227) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |