| NPI | 1811563406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: Aw) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |