| NPI | 1174501605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: OH 35082652) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.082652) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2010-12-13 |