| NPI | 1487044731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: IN 15-013664-1) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: IN 15-013664-1) |
| 374U00000X Home Health Aide (Licence: IN 15-013664-1) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |