| NPI | 1366796948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9248247) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD13459) |
| 146N00000X Emergency Medical Technician, Basic (Licence: FL EMT69699) | |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2016-05-22 |