| NPI | 1982541827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NE 1982541827) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-05-08 |