NPI | 1942459870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374U00000X Home Health Aide |
Additional Taxonomies | 172V00000X Community Health Worker |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-09-16 |
Last Update Date | 2015-05-15 |