NPI | 1184070849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD A00155945) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA12011) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2016-05-11 |