| NPI | 1316540529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 027025) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |