| NPI | 1679266258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: TX 1126078) |
| Additional Taxonomies | 2279P4000X Respiratory Therapist, Registered, Patient Transport (Licence: TX RCP020000151) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: TX 743211) | |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-07-22 |