| NPI | 1043939416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: CT HCA.0002055) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: CT HCA.0002055) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |