| NPI | 1285431635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 174200000X Meals |
| 332U00000X Home Delivered Meals | |
| 171WH0202X Contractor, Home Modifications | |
| 172A00000X Driver | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |