| NPI | 1477349793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28293219A) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: IN 2977-2959) |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |