| NPI | 1558160077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: VA E062005101) |
| 163W00000X Registered Nurse (Licence: VA 0001282216) | |
| Enumeration Date | 2025-03-08 |
| Last Update Date | 2025-03-08 |