NPI | 1871890483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374U00000X Home Health Aide (Licence: NC 27-0097711) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 27-0097711) |
Enumeration Date | 2011-02-16 |
Last Update Date | 2011-02-16 |