NPI | 1821265505 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247200000X (Licence: MD N/A) |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MD 0162268) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2008-05-13 |