| NPI | 1447200381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: TN EMT0000026653) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000023925) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |