NPI | 1700934569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0029968) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: MD D0029968) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2012-03-07 |