NPI | 1235586298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Additional Taxonomies | 101Y00000X Counselor |
347C00000X Private Vehicle | |
347E00000X Transportation Broker | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2025-08-03 |