| NPI | 1952609067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 246Y00000X Specialist/Technologist, Health Information | |
| 2472D0500X Technician, Other Darkroom | |
| 374U00000X Home Health Aide (Licence: TX NA08676030) | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |