| NPI | 1689118614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: MA 2919) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |