| NPI | 1265221725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: WI pending) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: WI pending) |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-07 |