NPI | 1649032723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD A00214359) |
Enumeration Date | 2024-01-25 |
Last Update Date | 2024-11-12 |