| NPI | 1568393197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: PA 1037247) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: NY 483658) |
| 171R00000X Interpreter | |
| Enumeration Date | 2026-05-25 |
| Last Update Date | 2026-05-25 |