| 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 |