| NPI | 1336356294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 32592) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: CT 032592) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-09-02 |