| 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 |