NPI | 1265698229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MN 253Z00000X) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2012-02-07 |