NPI | 1558660118 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: WA ES01169030) |
Additional Taxonomies | 374700000X Technician (Licence: WA HC 00156710) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2013-09-25 |