NPI | 1417126822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: MO 1790001) |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MO 179001) |
Enumeration Date | 2008-02-29 |
Last Update Date | 2008-02-29 |