| NPI | 1487445086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: CA E191268) |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-09-05 |