| NPI | 1235665415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NY 161932946) |
| Additional Taxonomies | 347E00000X Transportation Broker (Licence: NY 161932946) |
| 344600000X Taxi (Licence: NY 161932946) | |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2017-05-07 |