NPI | 1346660123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: MD 0202262) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R154738) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2014-04-21 |