| NPI | 1912933854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: AR C7143) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR C-7143) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2013-06-07 |