| NPI | 1043224892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX H4545) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: TX H4545) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2009-06-25 |