NPI | 1013346279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 400715510208) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 400715510208) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2013-11-07 |