NPI | 1437468337 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Additional Taxonomies | 251J00000X Nursing Care |
374U00000X Home Health Aide (Licence: MN 3925502-2) | |
Enumeration Date | 2010-09-27 |
Last Update Date | 2010-09-27 |