NPI | 1528540697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
Additional Taxonomies | 3747A0650X Technician Attendant Care Provider |
Enumeration Date | 2018-09-05 |
Last Update Date | 2018-09-05 |