| NPI | 1215309117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-11-02 |