| NPI | 1093580334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 342000000X Transportation Network Company (Licence: TN 80432cp) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 80432cp) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |