| NPI | 1104611607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |