| NPI | 1457514812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: MS 720-L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 7946419-1205) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2025-08-05 |