| NPI | 1649315508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: CA G48007) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: CA A50893) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-03-17 |