| NPI | 1144861311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-12-26 |