| NPI | 1376940171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: MN 791703400022) |
| Additional Taxonomies | 172A00000X Driver (Licence: MN 791703400022) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |