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 |