| NPI | 1487674602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: CT 026089) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 026089) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-05-31 |