| NPI | 1932127305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01061210) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: IN 01061210A) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-02-12 |