| NPI | 1386309409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AK 17502649) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: AK 17502649) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |