| NPI | 1336123140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-18738) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: KS 0418738) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2023-12-06 |