| NPI | 1902506777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MN 1117849) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 1117849) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-26 |