NPI | 1619392586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: UT 1992016009) |
Additional Taxonomies | 172A00000X Driver (Licence: UT 150143702) |
Enumeration Date | 2014-02-28 |
Last Update Date | 2014-02-28 |