| NPI | 1467214312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC5005) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: HC5005) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |