| NPI | 1154056091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: CA 6ATW040) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: CA 7XBR923) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-22 |