| NPI | 1598462129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: AZ E82309824) |
| Additional Taxonomies | 246W00000X Technician, Cardiology |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |