| NPI | 1093270837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: NV niu-016-2017) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |