| NPI | 1891975538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: CA A101627) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 48842) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2013-09-03 |