NPI | 1508000944 |
---|---|
Other Name | CHUCK HALCOME |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1710I1003X Military Health Care Provider, Independent Duty Medical Technicians |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: P8021361) |
Enumeration Date | 2009-04-29 |
Last Update Date | 2013-10-10 |