| NPI | 1407780422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: NE H13324180) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: NE H13324180) |
| 3747P1801X Technician, Personal Care Attendant (Licence: NE H13324180) | |
| Enumeration Date | 2026-06-12 |
| Last Update Date | 2026-06-12 |