| NPI | 1992192314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NY 343563270614E) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 422848) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |