| NPI | 1841346178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH pn128898iv) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2008-01-13 |