| NPI | 1952172009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OH 7719180) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |