| NPI | 1427520816 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 207PE0004X) |
| Enumeration Date | 2018-12-22 |
| Last Update Date | 2018-12-22 |