NPI | 1699168385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 372500000X Chore Provider (Licence: MN D134053978008) |
Additional Taxonomies | 372600000X Adult Companion (Licence: MN D134053978008) |
Enumeration Date | 2015-03-05 |
Last Update Date | 2015-03-05 |