NPI | 1558680207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: NE 2859) |
Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: IA I-12-317-12) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2010-05-20 |