| NPI | 1205107125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333300000X Emergency Response System Companies |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |