| NPI | 1386423325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: PR 87152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 87152) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-06-18 |