| NPI | 1235977083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: TX 25122432) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-29 |