| NPI | 1326834185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 374U00000X Home Health Aide | |
| 374700000X Technician (Licence: CT Electrocardiogram) | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-19 |