| NPI | 1396307302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 171R00000X Interpreter |
| 172V00000X Community Health Worker | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 344600000X Taxi | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-11-22 |