| NPI | 1487034401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: e3172772) |
| Additional Taxonomies | 172A00000X Driver |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist (Licence: NC 2014-330-01) | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide (Licence: FL cna314827) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |