| NPI | 1417842113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: VA T63543807) |
| Additional Taxonomies | 172A00000X Driver (Licence: VA Transporter) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |