| NPI | 1831118785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M0685) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: TX M0685) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-03-23 |