| NPI | 1356035745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) (Licence: TX MLZ2144) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-07-11 |