| NPI | 1366065575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TN l000000026358) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2022-10-18 |