| NPI | 1992145569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: MT P-206) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: WA para.es.01176519) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-28 |