NPI | 1063147031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 347C00000X Private Vehicle |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2022-07-22 |
Last Update Date | 2022-07-22 |