| NPI | 1376633636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.13546) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: AL AL15346) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2021-03-03 |