NPI | 1154058386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: PR 1693460) |
Additional Taxonomies | 347C00000X Private Vehicle (Licence: PR 1693460) |
Enumeration Date | 2022-08-08 |
Last Update Date | 2023-01-05 |