NPI | 1053942904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Additional Taxonomies | 172A00000X Driver |
251E00000X Home Health | |
Enumeration Date | 2020-01-29 |
Last Update Date | 2020-01-30 |