NPI | 1376997999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 2997905) |
Additional Taxonomies | 172A00000X Driver (Licence: NC 2997905) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2016-04-20 |