| NPI | 1316188402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251J00000X Nursing Care | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-19 |