NPI | 1013055920 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: KY 13780) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 13780) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2015-01-29 |