NPI | 1609403096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: RI EMT15246-P) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MA P0903270) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2020-03-25 |