| NPI | 1477372985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: SD R056585) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: PA 231630) |
| 163WE0003X Registered Nurse Emergency (Licence: SD R056585) | |
| 163WF0300X Registered Nurse Flight (Licence: SD R056585) | |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |