| NPI | 1003786021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NE H13122944) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: NE H13122944) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |