| NPI | 1184489858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NY 504945222) |
| Additional Taxonomies | 344600000X Taxi (Licence: NY 504945222) |
| 347C00000X Private Vehicle (Licence: NY 504945222) | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |