NPI | 1447642277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 372600000X Adult Companion (Licence: DE 2014602157) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: DE 2014602157) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2015-03-03 |