| NPI | 1114270337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347B00000X Bus (Licence: MS 801592792) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-05-09 |