| NPI | 1457677544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: OH 1398813) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 1398813) |
| 374U00000X Home Health Aide (Licence: OH 1398813) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |