| NPI | 1487857082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0051730) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: IN 11013309A) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2012-10-04 |