| 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 |