| NPI | 1568821437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD 522993) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: PA 041314) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |