| NPI | 1225891161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: CA A6109738) |
| Additional Taxonomies | 172A00000X Driver (Licence: CA A6109738) |
| 225A00000X Music Therapist | |
| 332U00000X Home Delivered Meals | |
| 374K00000X | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |