| NPI | 1851713382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235500000X Specialist/Technologist (Licence: NY 12041708) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 409640) |
| 235500000X Specialist/Technologist (Licence: NY 4586440) | |
| 246Z00000X Specialist/Technologist, Other (Licence: NY 12041708) | |
| 247200000X Technician, Other (Licence: NY 12041708) | |
| 367H00000X Anesthesiologist Assistant (Licence: NY 37825865) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 409640) | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2018-10-18 |