| NPI | 1891714689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 29217) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: CT 036537) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-04-30 |