| NPI | 1356983225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 372600000X Adult Companion | |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |