| NPI | 1801274618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 175L00000X Homeopath |
| 332U00000X Home Delivered Meals | |
| 251F00000X Home Infusion | |
| 261QR0207X Clinic/Center, Radiology, Mobile Mammography | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 215223) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2021-07-21 |