| NPI | 1184206922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 291U00000X Clinical Medical Laboratory | |
| 174200000X | |
| 372500000X Chore Provider | |
| 1744R1102X Specialist, Research Study | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-09-12 |