| NPI | 1063297679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 376J00000X Homemaker |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |