NPI | 1912637844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
Enumeration Date | 2022-06-14 |
Last Update Date | 2022-06-14 |