| NPI | 1619034725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A92365) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: CA A92365) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-02-18 |