| NPI | 1457879785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: TN 0000034093) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 0) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-07-21 |