| NPI | 1467583138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: CA 330560442) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CA 330560442) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |