| NPI | 1194417865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 341600000X Ambulance |
| 3416L0300X Ambulance, Land Transport | |
| 344600000X Taxi | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |