| NPI | 1932380797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse Emergency (Licence: IN 28173307A) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: IN 1753891) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: P0973771) | |
| 163WE0003X Registered Nurse Emergency (Licence: MI 4704262772) | |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |