NPI | 1891091872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171000000X Military Health Care Provider |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: NC B1791225) |
Enumeration Date | 2011-02-08 |
Last Update Date | 2015-12-22 |