| NPI | 1821350356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376G00000X Nursing Home Administrator | |
| 376J00000X Homemaker | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |