| NPI | 1407368541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2017-1062) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: NM 16000047) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2018-02-21 |