| NPI | 1265736524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: FL F020764937001) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: FL F020764937001) |
| 376J00000X Homemaker (Licence: FL 231584) | |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |