| NPI | 1942000419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 156FX1101X Technician/Technologist, Ophthalmic Assistant |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-05-31 |