| NPI | 1285384107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 342000000X Transportation Network Company |
| Additional Taxonomies | 171W00000X Contractor |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 344600000X Taxi | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2024-07-16 |