| NPI | 1093348310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 376J00000X Homemaker |
| 372500000X Chore Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |