| NPI | 1992457196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 242T00000X Perfusionist (Licence: TX 159082-1335) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-05-10 |