| NPI | 1326679697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 172A00000X Driver |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-03-04 |