NPI | 1487549598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 376G00000X Nursing Home Administrator |
Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2025-06-10 |
Last Update Date | 2025-06-10 |