| NPI | 1649450826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 9180714) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: P0823580) | |
| 163W00000X Registered Nurse (Licence: NC RN 174576) | |
| 163W00000X Registered Nurse (Licence: CA RN 558976) | |
| 163W00000X Registered Nurse (Licence: NV RN 32633) | |
| 163W00000X Registered Nurse (Licence: VA RN 0001 157439) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-12 |