| NPI | 1548845902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: OH RS694937) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2024-07-18 |