| NPI | 1295825396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.067370) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: OH 35067370) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-06-24 |