| NPI | 1134435936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: NC 50597) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NC 50597) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |