NPI | 1013931849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: KY 34054) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 34054) |
207P00000X Emergency Medicine (Licence: KY 34054) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2023-03-07 |