| NPI | 1811491061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.410842) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic |
| 163W00000X Registered Nurse (Licence: OH RN.410842) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-06-16 |