| NPI | 1417369513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 246RM2200X Technician, Pathology Medical Laboratory |
| 2471N0900X Radiologic Technologist Nuclear Medicine Technology | |
| 247200000X Technician, Other | |
| 372600000X Adult Companion | |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |