| NPI | 1992746614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A99813) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: MA 228273) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2011-03-04 |