| NPI | 1790270635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: NY 502393) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 3747P1801X Technician, Personal Care Attendant | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2022-10-06 |