| NPI | 1477280378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC6974) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2023-09-26 |