| NPI | 1669412573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 16221) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: OK 16221) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-06-26 |