| NPI | 1447730049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: IL 000735324) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 000735324) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |