| NPI | 1538973599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: IN 5634-1545) |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-02-01 |