| NPI | 1437263860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28068712A) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: IN 0242619) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |