| NPI | 1790758746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: MI 4301067027) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301067027) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2012-01-03 |