| NPI | 1356104376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 342000000X Transportation Network Company |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 344600000X Taxi | |
| 347B00000X Bus | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-04-07 |