| NPI | 1144844374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 3747P1801X Technician, Personal Care Attendant (Licence: GA PHCP010709) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-08-05 |