| NPI | 1437650157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: UT 20170030790) |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2022-10-11 |