| NPI | 1215701495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: TX knf5209) |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-02-09 |