| NPI | 1932404332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider (Licence: OH 324997) |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: OH 324997) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |