NPI | 1194058875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 347B00000X Bus (Licence: TX 05501680) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 05501680) |
Enumeration Date | 2009-09-11 |
Last Update Date | 2009-09-11 |