| NPI | 1992697163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 247200000X Technician, Other (Licence: DC 247100000X) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-08-12 |