NPI | 1942000609 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: MD 0022704) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: M5073861) |
Enumeration Date | 2025-03-13 |
Last Update Date | 2025-03-13 |