| NPI | 1841686367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.168708.MEDS) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 376K00000X Nurse's Aide | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 246W00000X Technician, Cardiology | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2021-08-13 |