| NPI | 1770341901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: OH 91480) |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: NONE) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |