| NPI | 1598137598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9569381) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD541591) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA26238) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2022-11-18 |