| NPI | 1437505955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 051726) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 015726) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-02-19 |