| NPI | 1902640147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD528429) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: FL EMT544409) |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |