| NPI | 1992587828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: KS 258522) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KS 258522) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |