| NPI | 1548060130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: OH RN.534202) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OH RN.534202) |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-10-14 |