| NPI | 1871975029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: IN 0480-12-5874) |
| Additional Taxonomies | 374700000X Technician (Licence: IN QMA1400100) |
| 374U00000X Home Health Aide (Licence: IN HHA1204113) | |
| 376K00000X Nurse's Aide (Licence: IN CNA0605779) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-07-22 |