| NPI | 1104533413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 177F00000X Lodging (Licence: MN HLDG22-0003) |
| Additional Taxonomies | 177F00000X Lodging (Licence: MN HLDG22-0005) |
| 177F00000X Lodging (Licence: MN LIC405011) | |
| 177F00000X Lodging (Licence: MN LIC404583) | |
| 177F00000X Lodging (Licence: MN HLDG22-0006) | |
| 177F00000X Lodging (Licence: MN HLDG22-0007) | |
| 177F00000X Lodging (Licence: MN HLDG22-0004) | |
| 177F00000X Lodging (Licence: MN LIC405205) | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-01-19 |