NPI | 1063088698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 347C00000X Private Vehicle (Licence: OH RZ574107) |
Additional Taxonomies | 172A00000X Driver (Licence: OH RZ574107) |
Enumeration Date | 2021-06-03 |
Last Update Date | 2021-06-03 |