NPI | 1114339405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 372600000X Adult Companion |
374K00000X | |
374U00000X Home Health Aide | |
Enumeration Date | 2014-05-21 |
Last Update Date | 2014-05-21 |