NPI | 1386854040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 41) |
Additional Taxonomies | 372500000X Chore Provider |
372600000X Adult Companion | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2025-03-06 |