| NPI | 1033892930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374700000X Technician (Licence: CA P027738) |
| Additional Taxonomies | 172A00000X Driver (Licence: CA D4148764) |
| 174200000X Meals (Licence: CA P027738) | |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-09 |