| NPI | 1891705786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: CA PA 10138) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA10138) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-06-16 |