| NPI | 1386409340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 172A00000X Driver |
| 174200000X Meals | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |