| NPI | 1215845524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2026-08-28 |
| Last Update Date | 2026-08-28 |