NPI | 1356112684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 31356439) |
Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: NC 31356439) |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-01-15 |