| NPI | 1497579577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: 834407504770) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: NM 17000617) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: TX 751370) | |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |