| NPI | 1568280790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: NV 1607932086) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |