| NPI | 1437043429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: VA E123081014) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD541430) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |