| NPI | 1700091378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: CA A118674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088480) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A118674) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-05-24 |