| NPI | 1568300796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: OH sw374256) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: OH sw374256) |
| 376J00000X Homemaker (Licence: OH sw374256) | |
| Enumeration Date | 2026-03-21 |
| Last Update Date | 2026-03-21 |