| NPI | 1902832710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E0651) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: AR E0651) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2009-07-09 |