| NPI | 1245947233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 41531606) | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-11-22 |