| NPI | 1891839841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NC 2010-00185) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: CA a87401) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-05-11 |