NPI | 1336271329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: LA 1584827) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: LA 1584894) |
376K00000X Nurse's Aide (Licence: LA 1456462) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-08 |