| NPI | 1356895163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 171R00000X Interpreter | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2021-11-12 |