| NPI | 1629507124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: IN 15-013746-1) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: IN 15-013746-1) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |