NPI | 1316798804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant |
Additional Taxonomies | 374U00000X Home Health Aide |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |