| NPI | 1528614161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: IN 1171-1970) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-05-05 |