NPI | 1528831997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172A00000X Driver (Licence: OH RQ953947) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: OH RQ953947) |
Enumeration Date | 2023-11-06 |
Last Update Date | 2023-11-06 |