| NPI | 1316710601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: PR TCAMB-119295) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2025-12-30 |