| NPI | 1710411996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 80-0417468) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: TX 80-04174687) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2022-07-21 |