| NPI | 1811231012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2278C0205X Respiratory Therapist, Certified, Critical Care (Licence: AL 2039) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: SC SC5042215) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD531563) | |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: GA P028590) | |
| 2278P4000X Respiratory Therapist, Certified, Patient Transport (Licence: AZ 009306) | |
| 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: AZ 009306) | |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2022-05-10 |