| NPI | 1326928227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: CT 026275099) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: CT 026275099) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-10-23 |