| NPI | 1053179952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: LA 4183257) |
| Additional Taxonomies | 172A00000X Driver (Licence: LA 4183257) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-05-21 |