| NPI | 1265366405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 342000000X Transportation Network Company |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-11 |