NPI | 1558720599 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: SC IHCP-0092) |
Additional Taxonomies | 372600000X Adult Companion (Licence: SC IHCP-0092) |
Enumeration Date | 2016-02-18 |
Last Update Date | 2016-02-18 |