NPI | 1245657246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: NJ 100694) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: NJ 100694) |
Enumeration Date | 2014-03-27 |
Last Update Date | 2014-03-27 |