NPI | 1508599226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: LA LA23-3166) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MD 0209701) |
146L00000X Emergency Medical Technician, Paramedic (Licence: MA P0902861) | |
Enumeration Date | 2022-07-09 |
Last Update Date | 2023-09-07 |