NPI | 1568430684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: KY 278P) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: IN 9347229) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2007-07-08 |