| NPI | 1760205389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 171R00000X Interpreter |
| 172A00000X Driver (Licence: IL S000-0018-7319) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-11-02 |
| Last Update Date | 2024-11-15 |