| NPI | 1114196326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) (Licence: WI 571170903) |
| Additional Taxonomies | 347E00000X Transportation Broker (Licence: WI 571170903) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |