NPI | 1255698247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: LA MD.208212) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: MS 24046) |
Enumeration Date | 2012-04-16 |
Last Update Date | 2016-09-21 |