| NPI | 1427842533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: VA E201902452) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD520701) |
| Enumeration Date | 2025-04-05 |
| Last Update Date | 2025-04-05 |