NPI | 1265640718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 139344) |
Additional Taxonomies | 374U00000X Home Health Aide |
Enumeration Date | 2007-05-18 |
Last Update Date | 2010-04-26 |