| NPI | 1265397673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 372600000X Adult Companion | |
| Enumeration Date | 2025-12-17 |
| Last Update Date | 2025-12-17 |