| NPI | 1326685629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 341600000X Ambulance |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |