| NPI | 1437023165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MD A00232006) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MD A00232006) |
| Enumeration Date | 2025-10-04 |
| Last Update Date | 2025-10-04 |