| NPI | 1053107268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 374K00000X Religious Nonmedical Practitioner | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |